Male thoraco-omphalopagus twins were diagnosed antenatally by ultrasound (US) at 34 weeks and transported in utero to our hospital. The twins were delivered on 23 May 1987 by CS at 35 weeks of gestation, the eighth pregnancy of a 33-year-old mother (Figure 1). Their combined weight was 3.77 kg. They had poor Apgar scores and had to be ventilated shortly after delivery. They died 7 days later before completing the relevant investigations. Post-Mortem examination showed joined hearts with complicated anomalies of the great vessels with fused liver.

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